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Vaughn Road
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Boarding Form
Boarding Form
Please choose your location:
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Carter Hill
Vaughn Road
Client Information
Client Name
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Client Name
First
First
Last
Last
Address
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City
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State
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ZIP
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Emergency Contact Name
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Emergency Contact Phone
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Relationship to you
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Pet Information
Pet Name
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Species
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Breed
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Color
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Age
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Weight
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Sex
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Allergies
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Check-In Date
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Check-Out Date
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Would you like your pet to receive a bath prior to going home?
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Yes
No
Doctors visit?
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Yes
No
Does your pet have a grooming appointment?
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Yes
No
Perfume?
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Yes
No
What time of day (estimate) are you picking up your pet? (after 2:00pm if bathing)
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Please list your pet's belongings:
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Did you bring food?
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Yes
No
How much and how often would you like us to feed your pet?
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Is your pet currently taking any medications or supplements?
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Yes
No
How many medications is your pet taking?
1
2
3
4
Medication #1
Drug
Strength
Frequency
Start On
Medication #2
Drug
Strength
Frequency
Start On
Medication #3
Drug
Strength
Frequency
Start On
Medication #4
Drug
Strength
Frequency
Start On
In leaving my pet for care and boarding at Montgomery Veterinary Associates LLC (MVA), I am aware that certain medical problems may arise during his/her stay. Understanding this, I give my permission to the doctors and staff of MVA to treat my pet as may be deemed necessary. I also understand that if treatment is necessary, I will be responsible for any charges at the time of my pet’s discharge. In case of medical emergency, MVA will make every attempt to contact me or a responsible party of my choice, at the number listed below, for further permission to provide medical care. But MVA will always proceed in the best interest and health of my pet.
Without prior arrangements, I understand that I am not allowed to pick up my animal during any non business hours. Staff is not permitted to release any pets while they are here during non business hours. Should circumstances necessitate leaving my pet beyond the scheduled go home date, I will notify MVA with updated departure information. Failure to call within 10 days after original departure date may result in my pet being considered abandoned.
STANDARD PICK-UP TIME
Monday – Friday 7:00-6:00pm – If bathed, pick up time is after 2:00pm
Saturday 7:30-12:00pm
Sunday 4:30-5:00pm
(Sunday pick-ups will be charged for Sunday night. You MUST prepay or fill out a credit card authorization form the day you drop off if you plan on picking up Sunday)
(Your pet will be bathed the FRIDAY before if you are picking up on a WEEKEND)
We also give Capstar (flea preventative) at time of check-in for boarding. The charge for a Capstar is $4.00. We are a flea free clinic and this helps ensure that we stay a flea free clinic.
*While all attempts are made to care for personal items left at MVA, items such as (but not limited to) toys, blankets, leashes, carriers, etc. can be lost or damaged. We strongly discourage the leaving of personal items with your pet. MVA is not responsible for any personal items that may be lost or damaged during your pet’s stay.
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